Sorry it has been so long since my last post. These past two months have been a whirlwind for me, so I’ll start with October 1st. I finished my September rotation at the DIC and began my General Medicine II (two month long) rotation at TMC Lakewood.
I will answer the usual question I get when it comes to rotations. What I actually do…
My projects/responsibilities these two months:
-Journal Club Presentation over insulin therapy
-Drug Presentation over Xarelto (rivaroxaban) for stroke and venous thromboembolism prevention
-Monday Morning Meetings
-Participating in clinics: Family Medicine, Dermatology, Pulmonology, and Anticoagulation
-Worked with healthcare teams: pharmacists, medical residents, nurses, and attending physicians in order to provide care to our patients
-Perform patient assessment, medication reviews, patient counseling, and provided recommendations regarding medications.
I have thoroughly enjoyed my time on this rotation. I especially like working in the clinics with the residents. I expected to learn a lot about pharmacy, but I’ve learned even more about medicine in general. Working in outpatients clinics have been really rewarding as I see the same patients multiple times for complete medical care: initial visit, follow-up visits, establishing care with a PCP, etc.
For instance, in the anticoagulation clinic, patients who are taking warfarin (Coumadin) for stroke and clot prevention visit every 1-4 weeks to have blood work done. I then interview the patient discussing medications, side effects, problems, concerns, and of course, medication education. After each visit, I meet with their physician to recommend changes to their medications before contacting the patient with their new regimen.
As you can tell, this rotation has been very influential for my pharmacy career. Due to my rotation experiences, I’ve developed a strong interest in Ambulatory Care. I’ve also learned that I really enjoy teaching, mentoring, and precepting students. Once I determined an area of interest, the next step was figuring out what to do with that. Therefore, I have decided to pursue a PGY1 pharmacy residency after graduation. A residency? Isn’t that for doctors? Well, there are residencies available to pharmacy graduates. Their purpose is to further advance our pharmacy practice training.
PGY1: “Postgraduate year one of pharmacy residency training is an organized, directed, accredited program that builds upon knowledge, skills, attitudes, and abilities gained from an accredited professional pharmacy degree program. The first-year residency program enhances general competencies in managing medication-use systems and supports optimal medication therapy outcomes for patients with a broad range of disease states.” Read more on ASHP’s website (American Society of Health-System Pharmacists).
Thus, I will be attending ASHP’s Midyear Conference in New Orleans
I had my TL a little more than a year ago when my third child was born via c-section. I was not told ANYTHING about the possible side effects of having this proceedure. Since then I have experienced heavy bleeding lasting sometimes 3 weeks out of the month, weight gain, severe mood swings. Severe cramping, changes to my libido, severe depression accompanied by suicidal thoughts, headaches, migraines, many new symptoms & older issues are now exacerbated. The father of two of my children doesn't want me anymore. I've become too much of a pain in the ass I guess. We don't talk. We don't sleep in the same bed. I think he might really think I am crazy... & maybe I am. I feel crazy a lot of the time.
ReplyDeleteI'm unpredictable. I feel so angry about the whole thing & now what was once a mild fear of doctors has exploded into full on white coat syndrome that causes me to have a panic attack/hypertensive emergency (severe increase in blood pressure) whenever I have to deal with them. I'm not sure what to do... I fear the next time I have to see a doctor I'll have a stroke or a heart attack from the stress & anxiety of it... what do I do? I take my time and keep searching on internet looking for natural healing that how I came across Dr Itua herbal center website and I was so excited when Dr Itua told me to calm down that he will help me with his natural remedy I put my hope on him so I purchase his herbal medicines which was shipped to my address I used it as prescribed guess what? I'm totally healed my cramp pain is gone completely I also used his Anti Bacteria herbal medicines it's works for me very well I want anyone with health problem to contact Dr Itua herbal center for any kind diseases remedies such as Parkinson, Herpes, ALS, MS, Diabetes, Hepatitis, Hiv/Aids,Cancers, Men & Women Infertility, I got his email address drituaherbalcenter@gmail.com he has any kind of herbal remedies for women & men also for our babes. I really miss my Hunni...he's a fantastic father & a good man. He doesn't deserve this. I feel like an empty shell of who I used to be.